| NPI | 1942508882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6559) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 172754-30) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2015-09-18 |