| NPI | 1265986731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 7198-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 144009-30) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2023-05-22 |