| NPI | 1609837525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2156) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 103245) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2021-02-12 |