| NPI | 1568459261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1487) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 76924) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2017-02-10 |