| NPI | 1598141004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6654-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 170735-30) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-09-18 |