| NPI | 1669757258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5705-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 141543-30) |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2024-03-25 |