| NPI | 1588651244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 2797-033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 2797-33) |
| Enumeration Date | 2005-09-28 |
| Last Update Date | 2023-01-15 |