| NPI | 1821986605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 84752) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NM 79282) |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-07-01 |