| NPI | 1447996509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 13978047-4405) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: UT 6226885-3102) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2024-05-17 |