| NPI | 1093038481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9294-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 171820-030) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2019-10-04 |