| NPI | 1376650804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1854-033) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 107896-030) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2010-10-08 |