| NPI | 1780317941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 15950-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R40843) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2024-12-20 |