| NPI | 1861603128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-075812) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 187301) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-075812) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2021-07-19 |