| NPI | 1689130015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-161871) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AL 161871) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2021-01-21 |