| NPI | 1184964355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 5243-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 125285-30) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |