| NPI | 1710243563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 16050-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 177987-30) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2024-10-24 |