| NPI | 1730646837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 60244) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: ID 45772) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |