| NPI | 1730676537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9155-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 175804-30) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2025-03-21 |