| NPI | 1336423177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4636-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 134096) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2021-02-17 |