| NPI | 1811697568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13701-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 13701-33) |
| 163W00000X Registered Nurse (Licence: WI 233692-30) | |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2024-07-03 |