| NPI | 1982075768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8122-33) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: ND R33823) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2024-07-16 |