| NPI | 1780933051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10224-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 146176-030) |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2022-06-06 |