| NPI | 1346484011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 120727) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO Not yet available) |
| Enumeration Date | 2009-04-26 |
| Last Update Date | 2011-03-01 |