| NPI | 1750486270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-043077) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN086957) |
| 363L00000X Nurse Practitioner (Licence: GA 1-043077) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-11-25 |