| NPI | 1265701262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4797) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 150859) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2023-05-17 |