| NPI | 1659748564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-154392) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 99241) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 99241) | |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2016-08-11 |