| NPI | 1336100718 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1339) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 93917) | 
| Enumeration Date | 2006-03-28 | 
| Last Update Date | 2022-09-14 |