| NPI | 1487735304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-144015) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9311650) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9311650) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-06-25 |