| NPI | 1831384015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 19052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 118681) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 3227) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2014-11-26 |