| NPI | 1538819768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016225) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC 183927) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5016225) | |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2023-11-07 |