| NPI | 1538698618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7746-033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 195848-30) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 7746-033) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-07-21 |