| NPI | 1366168809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 285032) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ 169094) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2023-02-09 |