| NPI | 1174859524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4045-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 4045-33) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 4045-33) | |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2024-11-25 |