| NPI | 1437380409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3822) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 130147-30) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 3822-33) | |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2020-10-01 |