| NPI | 1386613875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2814-033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 151919) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2023-03-07 |