| NPI | 1528331832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4783) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 155089) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2020-12-22 |