| NPI | 1366997785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 7136) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 7136-33) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 7136) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-09-09 |