| NPI | 1033490297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 111261) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NE 66171) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2016-12-09 |