| NPI | 1619291747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4018) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 153981) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2019-12-06 |