| NPI | 1336209402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1120) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WI 1120-033) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2024-04-10 |