| NPI | 1295731529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1827033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 97477030) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2023-10-03 |