| NPI | 1508096819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 150089) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 150089-030) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2021-12-02 |