| NPI | 1528628641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11004459) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9389151) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2020-06-01 |