| NPI | 1467729764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10726) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2017025880) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2023-08-07 |