| NPI | 1326356684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 4168-33) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA A139843) |
| 207Q00000X Family Medicine (Licence: WI 4168-33) | |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2021-08-30 |