| NPI | 1639892755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024131) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9581797) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-11-20 |