| NPI | 1932365434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3578-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 149961-030) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2013-10-16 |