| NPI | 1194332007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 28109) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MS 903994) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2025-01-22 |