| NPI | 1609435692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9453-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 9453) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2024-03-27 |