| NPI | 1174099063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8884-033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI F07180368) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2024-01-09 |