| NPI | 1326411786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174343) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001169087) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP 8207) | |
| Enumeration Date | 2015-11-07 |
| Last Update Date | 2017-01-24 |