| NPI | 1679287916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13511-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.026676) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-05-11 |