| NPI | 1003285511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 6609) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 141322) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-11-23 |