| NPI | 1821277757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP01205) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: NM R48769) |
| Enumeration Date | 2007-10-27 |
| Last Update Date | 2019-04-29 |