| NPI | 1629097316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1789) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 117041) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2015-06-16 |