| NPI | 1275240350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018193) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC 195946) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2023-06-06 |