| NPI | 1689206567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13856-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 828135) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 828135) | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2023-06-21 |