| NPI | 1427305408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 4966) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 161545) |
| 363L00000X Nurse Practitioner (Licence: WI 4966) | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2020-06-29 |