| NPI | 1992762462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA Sp001018B) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA SP 001018B) |
| 363L00000X Nurse Practitioner (Licence: PA Sp001018B) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2008-12-30 |