| NPI | 1578751715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 3253-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 82976) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2022-01-13 |