| NPI | 1215393905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 6763-33) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9414958) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-12-08 |