| NPI | 1477100477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9655) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 138359) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2024-05-15 |