| NPI | 1437759115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 16119) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61104176) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2024-11-25 |