| NPI | 1376435065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 238664) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AK 238664) |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-08-27 |