| NPI | 1154047330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13093) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 13093-33) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2023-02-22 |