| NPI | 1144968959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016575) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F06221897) |
| 163WG0000X Registered Nurse, General Practice (Licence: NC 288927) | |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-10-04 |