| NPI | 1598035768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 4839-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 184705-30) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2016-11-01 |