| NPI | 1801850524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 2113) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 2113) |
| 363L00000X Nurse Practitioner (Licence: WI 136222) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2021-11-08 |