| NPI | 1942251798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 2414) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 119115) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2013-10-11 |