| NPI | 1720708803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13106) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 13106-33) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2024-04-22 |