| NPI | 1871598102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 1471) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA 12541) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2015-06-04 |