| NPI | 1194565515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.29187) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: SC Apn.29187) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: SC Apn.29187) | |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-08-21 |