| NPI | 1508557323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13519) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 13519-33) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-07-25 |