| NPI | 1497204218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6235) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 108014) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI F1014387) | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2024-05-24 |