| NPI | 1124245253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WI 3072) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: WI 3072) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-12-02 |