| NPI | 1821499740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11869) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IA A097345) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2023-08-16 |