| NPI | 1396736948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 785-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 785) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2011-06-14 |