| NPI | 1952574394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8397-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 159448-030) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2022-03-29 |