| NPI | 1700171857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 8497-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 174210) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2018-07-31 |