| NPI | 1467891945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003899) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AR R055227) |
| 163WG0000X Registered Nurse, General Practice (Licence: AR A003899) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2016-07-14 |