| NPI | 1871840058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4935) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 158970) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2021-12-06 |