| NPI | 1568238095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 14781) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14781-33) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2024-01-18 |