| NPI | 1891796678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 430033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 86151030) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2021-11-18 |