| NPI | 1942644984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 5271-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 112672-030) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2021-11-23 |