| NPI | 1972528925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 1390) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 130862) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2016-09-15 |