| NPI | 1023667797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9433) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 9433-33) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2020-12-04 |