| NPI | 1851063549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11097) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 11097) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2024-07-31 |