| NPI | 1912426925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7854-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95008548) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 7854-33) | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-05-19 |