| NPI | 1174126205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10300-33) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 10300-33) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2024-06-06 |