| NPI | 1407306624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1-100214) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-100214) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: AL 1-100214) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: AL 1-100214) | |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: AL 1-100214) | |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2021-12-09 |