| NPI | 1013029214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 4047) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL Fl ARNP 2171862) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2010-05-11 |