| NPI | 1477952901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-106959) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-106959) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2015-02-12 |