| NPI | 1528347762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4461-33) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: WI 4461-33) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2015-10-05 |