| NPI | 1487999868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5183) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 5183-33) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2020-03-30 |