| NPI | 1649874868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ACN1318) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9264333) |
| 207Q00000X Family Medicine (Licence: PR 022102) | |
| Enumeration Date | 2020-11-29 |
| Last Update Date | 2022-09-06 |