| NPI | 1245530385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 214693) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-115696) |
| 163W00000X Registered Nurse (Licence: GA 214693) | |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2019-11-07 |