| NPI | 1861071896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10837-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 10837-22) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2022-06-07 |