| NPI | 1447732110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 8842-33) |
| 163WG0000X Registered Nurse, General Practice (Licence: WI 195659-30) | |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2022-01-03 |