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 |