| NPI | 1073628269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 938-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 110586-030) |
| 363L00000X Nurse Practitioner (Licence: WI 938-033) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-03-25 |