| NPI | 1538493614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5492-33) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: IL 041343430) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WI 148040) | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2013-10-02 |