| NPI | 1659301653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 1211-33) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 1211) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-04-14 |