| NPI | 1144453176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3815) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 125735) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2022-09-02 |