| NPI | 1508667379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11038316) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 9413767) |
| 163WG0000X Registered Nurse, General Practice (Licence: CT 162959) | |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-19 |