| NPI | 1487171526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 100626-875) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A137365) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2023-06-28 |