| NPI | 1598098188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10297-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 165439-030) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2020-11-18 |