| NPI | 1467685420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP010395) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: PA SP010395) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2023-03-07 |