| NPI | 1396248407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 185282) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 185282-30) |
| 363L00000X Nurse Practitioner (Licence: WI 8349-33) | |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2022-08-02 |