| NPI | 1487964045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4251) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WI 4251-33) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2021-01-04 |