| NPI | 1407480866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9912) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 9912-33) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2024-05-07 |