| NPI | 1700869609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-067338) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AL 1067338) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2024-07-24 |