| NPI | 1639261597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS R616222) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MS R616222) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS R616222) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MS R616222) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-01-15 |