| NPI | 1356750905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5916-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 138013-30) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2016-03-10 |