| NPI | 1891724068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 2680-033) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 2680-033) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2011-04-06 |