| NPI | 1588309496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13026-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 226834-30) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-07-14 |