| NPI | 1013107069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3182) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 143430) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2024-01-23 |