| NPI | 1437258589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2882-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 2882-033) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2017-03-13 |