| NPI | 1225280050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3519-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 141854) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2023-03-14 |