| NPI | 1295196251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-132253) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1-132253) |
| 363LC1500X Nurse Practitioner Community Health (Licence: AL 1-132253) | |
| 363LF0000X Nurse Practitioner Family (Licence: AL 1-132253) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: AL 1-132253) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: AL 1-132253) | |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |