| NPI | 1063832566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-116496) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: AL 1-116496) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2015-02-17 |