| NPI | 1578705984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3705-033) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 76715) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2023-12-11 |