| NPI | 1669650107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 472033) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 472-33) |
| 163W00000X Registered Nurse (Licence: WI 65003) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2014-12-29 |