| NPI | 1629513783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 7431) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 157553) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-29 |