| NPI | 1164978581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 7281-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 180033-30) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2021-03-04 |