| NPI | 1205838786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 73432-030) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 7-033) |
| Enumeration Date | 2005-08-13 |
| Last Update Date | 2007-07-08 |