| NPI | 1588240741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24849) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN173525) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2022-09-22 |