| NPI | 1114526084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 1114526084) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NC 186300) |
| 208D00000X General Practice (Licence: NC 1114526084) | |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2023-07-06 |