| NPI | 1033731484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 254802) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ 254802) |
| 163WG0000X Registered Nurse, General Practice (Licence: FL 9355270) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11007124) | |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2024-01-18 |