| NPI | 1932362480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14768-33) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 309906-031) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV RN67831) | |
| Enumeration Date | 2008-07-04 |
| Last Update Date | 2024-03-28 |