| NPI | 1093407694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 27618) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: SC 247546) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-07-28 |