| NPI | 1225105786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5964-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 148986-030) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2024-04-18 |