| NPI | 1285828400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 64721-30) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 1388-033) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2015-12-17 |