| NPI | 1821377177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 7315-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA 088583) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2020-04-17 |