| NPI | 1669887246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5824-33) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 5824) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2025-01-13 |