| NPI | 1124741046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026346) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA SP026346) |
| 163WG0000X Registered Nurse, General Practice (Licence: PA RN626746) | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2023-05-03 |