| NPI | 1518397660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5611) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 143500) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2021-01-12 |