| NPI | 1093738320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2836) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 65577) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-09-25 |