| NPI | 1629644463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 220760) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: LA 152434) |
| 207Q00000X Family Medicine (Licence: LA 152434) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: LA 152434) | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-07-26 |