| NPI | 1831494210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7378) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 170231-30) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2021-01-19 |