| NPI | 1821371717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-042513) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-042513) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: AL 1-042513) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-042513) | |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |