| NPI | 1548984792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13318-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 10052) |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2024-01-04 |