| NPI | 1184399040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11350-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 0000) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2024-09-10 |