| NPI | 1215983408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1860) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 109663) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-12-06 |