| NPI | 1588997803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3805) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 147336) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2021-07-06 |