| NPI | 1437114774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2573-033) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI 2014) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2018-05-07 |