| NPI | 1225214794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1061550) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1061550) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2015-12-11 |