| NPI | 1578217139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020103) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9462133) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-06-29 |