| NPI | 1265114045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 12308) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 12308-33) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2024-01-25 |