| NPI | 1629036181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9449-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9169458) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2019-10-02 |