| NPI | 1831174143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2302) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 2302-033) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2013-04-01 |