| NPI | 1295360360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 123957) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AR R097519) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |