| NPI | 1245653880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6086-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 174827-030) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2022-01-07 |