| NPI | 1609637875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 4559) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: HI 112207) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-04-30 |