| NPI | 1639187990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1016766) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: AR r10945) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AR poo166) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AR a01052) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |