| NPI | 1275225898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11027349) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9488944) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-08-31 |