| NPI | 1801966486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-046166) |
| Additional Taxonomies | 171W00000X Contractor (Licence: AL 1-046166) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2011-04-04 |