| NPI | 1518459965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005672) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AR R065088) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-07-18 |