| NPI | 1215102686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3403-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 131814-30) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2025-03-21 |