| NPI | 1427340512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 104742) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 5778) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2018-01-11 |