| NPI | 1679782700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7680) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 7680-33) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-10-09 |