| NPI | 1942642301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: FL ARNP9314862) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP-9314862) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2018-11-05 |