| NPI | 1386288132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 31395-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A156623) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2022-11-15 |