| NPI | 1205081924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 3613-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 76678) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2016-06-29 |