| NPI | 1932307311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5636-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009911) |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0031988) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209004120) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2024-10-11 |