| NPI | 1487676979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2669) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 133215) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2021-01-15 |