| NPI | 1316225303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7579-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 174136-030) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2017-03-15 |