| NPI | 1639143837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-097517) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AL 1-097517) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2011-10-14 |