| NPI | 1447876750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 10250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 200560-30) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI F06201389) | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-08-28 |