| NPI | 1760012884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11005071) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: FL 9280133) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2021-10-25 |