| NPI | 1215339585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 12131-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18994) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2022-09-09 |