| NPI | 1023516291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-03500) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NM RN-72222) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-10-09 |