| NPI | 1932485489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4680-033) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 4680-33) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2020-06-18 |