| NPI | 1891266060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9003) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 129640) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2023-04-20 |