| NPI | 1093341380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 10116) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI F01201947) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2023-03-08 |