| NPI | 1336837400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13766-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 1376633) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-08-16 |