| NPI | 1285968461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 7470-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 165570-30) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2017-02-02 |