| NPI | 1639129810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 1135) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 1135-033) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-11-03 |