| NPI | 1013358787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3628) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: WI 3628) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2021-09-14 |