| NPI | 1902083348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3688) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 142908) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2009-05-08 |