| NPI | 1306516265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11332-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 11145) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 11145) | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-09-13 |