| NPI | 1780467886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM 54228) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: NM 54228) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-09-27 |