| NPI | 1609027929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3557) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 98584) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2021-08-24 |