| NPI | 1679912190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-118405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-118405) |
| 163WG0000X Registered Nurse, General Practice (Licence: AL 1-118405) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2018-03-17 |