| NPI | 1801210240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5671-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 137624-30) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2016-05-09 |