| NPI | 1922115898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 71926-030) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 457-033) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2018-04-05 |