| NPI | 1629110895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-149809) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MO 2003027280) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2003027280) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2015-09-21 |