| NPI | 1528209574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 3696-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 125406-030) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2020-10-20 |