| NPI | 1598200354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7438-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 168987) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-02-08 |