| NPI | 1588334270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11319) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 11319-33) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2024-07-09 |