| NPI | 1649515156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NC 95105) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 200564) |
| 174400000X Specialist | |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2015-09-14 |