| NPI | 1972935997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5453-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 5453) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2024-01-03 |