| NPI | 1790848653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: WI 111288030) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 2816033) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-03-07 |