| NPI | 1447692942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13581) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5012549) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2024-10-10 |