| NPI | 1083984868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5166) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 170180-30) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2021-12-01 |