| NPI | 1750303137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2375) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 139656) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-05-01 |