| NPI | 1275858144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4152-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 158770-30) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2020-12-22 |