| NPI | 1841545548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4929) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 151108) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-08-15 |