| NPI | 1871745679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3534-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 144990) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2022-05-24 |