| NPI | 1346490547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3674-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 141346-30) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2021-02-17 |