| NPI | 1548618937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6910-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 145760-30) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 6910-33) | |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-11-27 |