| NPI | 1134889918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11570) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 11570-33) |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2022-01-25 |