| NPI | 1194222836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9356223) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: FL RN9356223) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2021-05-04 |