| NPI | 1649689233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5897-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 112867-30) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2025-03-21 |