| NPI | 1932532991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5408-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 163840-30) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-09-04 |