| NPI | 1871810812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-072334) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-072334) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2019-04-15 |