| NPI | 1356041685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AK 205713) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: AK 128403) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-04-17 |