| NPI | 1699648451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 16921) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 12949) |
| Enumeration Date | 2025-09-27 |
| Last Update Date | 2025-09-27 |