| NPI | 1700225323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 185516-30) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: WI 185516-30) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2024-10-24 |