| NPI | 1093212839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT 132125) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: MT 35608) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2023-01-23 |