| NPI | 1487047775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-161525) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 19336) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2018-01-29 |