| NPI | 1073725222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3399033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 136022-030) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-12-05 |