| NPI | 1841851094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22981) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 22981) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2024-03-23 |