| NPI | 1336423011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-092873) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-092873) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2021-03-03 |