| NPI | 1003417726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10353-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 194312-30) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2021-04-15 |