| NPI | 1326353137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4310) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 159128) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2023-06-28 |