| NPI | 1073022356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8040-33) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 8040-33) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2022-06-21 |