| NPI | 1487913349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-134-735) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-134735) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2013-01-07 |