| NPI | 1730652850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP020012) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA F11180788) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2022-09-20 |