| NPI | 1568954337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8473-33) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: WI 190388-30) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-11-09 |