| NPI | 1154088722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11556-33) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: WI 11556-33) |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2024-08-23 |