| NPI | 1114578457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9657-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 193564-30) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2022-11-17 |