| NPI | 1093292625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8557-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 1783549-30) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2021-12-26 |