| NPI | 1275831513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 4223-033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 94365-03) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2013-01-22 |