| NPI | 1790732626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 1038-033) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 1038) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2019-11-06 |