| NPI | 1851667539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4940) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 16296630) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 494033) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2023-11-24 |