| NPI | 1215423439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9337094) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9337094) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2025-11-18 |