| NPI | 1295262772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7801) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WI 178788-30) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2018-03-17 |