| NPI | 1396036901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4361-033) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 4361-033) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2017-04-21 |