| NPI | 1780827667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 9551-33) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: WI 155240-30) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2024-02-13 |