| NPI | 1245621747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6221-33) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 6221-33) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2021-02-04 |