| NPI | 1336100718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1339) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 93917) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2022-09-14 |