| NPI | 1457763898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6359-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 109248-30) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2016-02-09 |