| NPI | 1881929891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3818) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 88494) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2011-05-13 |