| NPI | 1861448227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA R093348) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202001584NP-PP) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-02-20 |