| NPI | 1740530732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5046-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 12409) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2025-02-25 |