| NPI | 1285301630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020962) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC 290799) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2024-10-04 |