| NPI | 1669577482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2862-033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 126341-30) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2014-01-07 |