| NPI | 1790590818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MO 2018022185) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO F01250544) |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |