| NPI | 1063037430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24116) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: SC 240564) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-07-29 |