| NPI | 1700208287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-054581) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: AL 1-054581) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2018-04-10 |