| NPI | 1548326564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA sp009112) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA spo1o316) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2015-12-18 |