| NPI | 1568416121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2550) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 127976) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-01-14 |