| NPI | 1225407661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6714-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 164157-30) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2020-07-07 |