| NPI | 1437701547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 163137) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WI 163137-30) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 163137) | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-25 |