| NPI | 1952751273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016345) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA RN594370) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2021-10-19 |