| NPI | 1093212094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018779) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA RN691701) |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2019-03-05 |