| NPI | 1114672136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 12018-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 239028) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2024-05-09 |