| NPI | 1194421842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13817-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 225200-30) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 13817-33) | |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2024-11-19 |