| NPI | 1922305655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 8192) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 5872) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2019-02-27 |