| NPI | 1881975910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A120113) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IA 120113) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2014-08-11 |