| NPI | 1427315746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL RN 1-105883) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner Community Health (Licence: AL RN 1 105883) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |