| NPI | 1508016817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3625-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 111407-030) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2021-03-16 |