| NPI | 1326549429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-144851) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-144851) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-144851) | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2019-03-25 |