| NPI | 1326476417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5530) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 159721-30) |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2024-03-25 |