| NPI | 1518572940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10093) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 10093-33) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2023-10-17 |