| NPI | 1235710880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11420-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704319181) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2023-01-24 |