| NPI | 1689050213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7790-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 201555) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2018-03-17 |