| NPI | 1245670553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5410-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 153420-30) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-08-28 |