| NPI | 1730947250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-172258) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AL 1-172258) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |