| NPI | 1740320035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 2941) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2022-05-17 |