| NPI | 1760996128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: AZ 219280) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ 146118) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2018-11-13 |