| NPI | 1831867399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 74666) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9463343) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2023-02-28 |