| NPI | 1881179943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024176771) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001254873) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-10-29 |