| NPI | 1891927570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3820) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 110668 (RN)) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2021-12-16 |