| NPI | 1154515104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3201-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 3201) |
| 207P00000X Emergency Medicine (Licence: WI 320133) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2019-02-05 |