| NPI | 1013148980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3835-33) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 122075-30) |
| 363L00000X Nurse Practitioner (Licence: WI 122075-30) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2017-05-04 |