| NPI | 1518273192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1680-033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 134531-030) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2021-12-29 |