| NPI | 1487286282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9906) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 189858) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2021-09-07 |