| NPI | 1518924828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-053137) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 158753 NP) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2008-01-23 |