| NPI | 1760820096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8310-33) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: WI 174226-030) |
| Enumeration Date | 2013-06-09 |
| Last Update Date | 2018-04-17 |