| NPI | 1114018926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 132402) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 2877) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2009-04-27 |