| NPI | 1427047620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 193) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 79848) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2011-10-27 |