| NPI | 1952847493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13577) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009202) |
| Enumeration Date | 2017-01-08 |
| Last Update Date | 2023-04-19 |