| NPI | 1073533568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP02080) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 47422) |
| 163W00000X Registered Nurse (Licence: MS 878594) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 901644) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2016-10-03 |