| NPI | 1437530813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6200-33) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209012869) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 6200-33) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2016-09-15 |