| NPI | 1528350451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4305) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 4305-33) |
| 163W00000X Registered Nurse (Licence: WI 116838) | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2023-10-30 |