| NPI | 1194316968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 10851-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 162001) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2022-10-18 |