| NPI | 1063804367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA SP014587) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014587) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2022-08-09 |