| NPI | 1285927525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-082350) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 1-082350) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2016-04-21 |