| NPI | 1417218132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5018-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 150937-030) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2018-03-15 |