| NPI | 1235304361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-027350) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-027350) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-027350) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |