| NPI | 1780129775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-143492) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN145892) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP09088) | |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2018-07-18 |