| NPI | 1306527015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14282) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 14282-33) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-04-23 |