| NPI | 1598024143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1569-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 115969-030) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2022-05-05 |