| NPI | 1194387035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 9327-33) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 178790-30) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2026-03-27 |