| NPI | 1912334293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7439-33) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: WI 7439-33) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2017-04-28 |