| NPI | 1821701756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 229743) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: LA 115254) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-12-06 |