| NPI | 1427374156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8741-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 152943-30) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2021-11-30 |