| NPI | 1619981438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse Ambulatory Care (Licence: AR R12889) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR P00788) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: AR A01142) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |