| NPI | 1114552312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 10022-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 10022) |
| 163W00000X Registered Nurse (Licence: WI 201597-30) | |
| 363L00000X Nurse Practitioner (Licence: WI 715538) | |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2024-05-10 |