| NPI | 1316073836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2993-33) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 2993-33) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 2993-33) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 2993-33) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-06-11 |