| NPI | 1326293176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6542-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 171349-30) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 6542 - 33) | |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2024-09-19 |