| NPI | 1326559634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9203-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A107896) |
| Enumeration Date | 2017-10-14 |
| Last Update Date | 2022-11-11 |