| NPI | 1912748401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15506) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI F06240136) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-07-15 |