| NPI | 1053432468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-042956) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-042956) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-05-11 |