| NPI | 1487961132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4295) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 147554) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2021-02-17 |