| NPI | 1124744883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11989-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 11989) |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2023-09-04 |