| NPI | 1083174742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011717) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC 233887) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2023-11-27 |