| NPI | 1235858101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 12057) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 12057-33) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2023-01-12 |