| NPI | 1487233565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11214-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 2020169171) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2022-05-25 |