| NPI | 1801303557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 7926-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 177976-30) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-03-27 |