| NPI | 1780187658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8293-033) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 8293) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2021-05-10 |