| NPI | 1720132301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 2519) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: WI 2519-033) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2012-02-23 |