| NPI | 1194216168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8544) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 188983-30) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-09-11 |