| NPI | 1144644931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 5656-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5656) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2020-11-24 |