| NPI | 1518068485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 6966) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 0006) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AK 6966) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AK 0006) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2010-12-06 |