| NPI | 1376896662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-058587) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: AL 1-058587) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2023-06-29 |