| NPI | 1699289975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11488) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN144039) |
| Enumeration Date | 2017-11-26 |
| Last Update Date | 2018-06-30 |