| NPI | 1538873278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 229204) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: LA 096732) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-19 |