| NPI | 1205412889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 26836) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: SC 108722) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2022-12-12 |