| NPI | 1487496295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15428) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WI 15428-33) |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-26 |