| NPI | 1619700853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: LA 220633) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 220633) |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2025-08-13 |