| NPI | 1518985456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2135) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 142707) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-05-31 |