| NPI | 1386940575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14417-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 197266-30) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2024-05-28 |