| NPI | 1417901315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-148589) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 1533) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2017-12-08 |