| NPI | 1194554600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 16125-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 240001-30) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-12-11 |