| NPI | 1700041472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8589-033) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WI 8589-33) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2021-11-30 |