| NPI | 1447684261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5372) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 5372-33) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2025-03-01 |