| NPI | 1750198735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 233793) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AK 22097) |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2025-02-13 |