| NPI | 1891939906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3730) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 61603-030) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2018-10-16 |