| NPI | 1710946926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9776-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 143510) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2023-05-18 |