| NPI | 1629037650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 113639) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 1850) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2016-11-28 |