| NPI | 1235326703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 3618) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 161162) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2023-04-18 |