| NPI | 1447587407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP.05596) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN071415) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP05596) | |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2021-06-23 |