| NPI | 1356619399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4660) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4460) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2024-01-22 |