| NPI | 1134175250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2824) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 141366) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2012-06-18 |