| NPI | 1730588914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6004) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 149935-30) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN CNP1795) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2024-02-16 |