| NPI | 1043435100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3216-33) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: WI 144336-030) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 3216-33) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2013-12-06 |