| NPI | 1336876051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13062-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 9386) |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-09 |