| NPI | 1922321207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3977-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 144282-030) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2015-07-17 |