| NPI | 1861160871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015236) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC 254285) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5015236) | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-11-11 |