| NPI | 1205056637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 21240) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MT 363LF0000X) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2012-01-31 |