| NPI | 1417393596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 5449) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5449) |
| 363L00000X Nurse Practitioner (Licence: WI 134056) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2025-11-19 |