| NPI | 1063464337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13525-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704216109) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-04-22 |