| NPI | 1508586926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 226506) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: LA RN153970) |
| 207Q00000X Family Medicine (Licence: LA 226506) | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2023-02-14 |