| NPI | 1124565494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-088755) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: AL 1-088755) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-088755) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-088755) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-088755) | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |