| NPI | 1992976286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 847-033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 65923-030) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2021-11-30 |