| NPI | 1336277136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08479) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 394939) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 12868) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2017-09-22 |