| NPI | 1689924185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 5029-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 171767-30) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-13 |