| NPI | 1497987796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3849) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 80274 (RN)) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2020-09-10 |