| NPI | 1366197808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11776) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI F10210963) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-04-22 |