| NPI | 1598885709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 154) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 92551-030) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2022-04-21 |