| NPI | 1073533717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-072332) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-072332) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2017-03-13 |