| NPI | 1861981367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: FL 9457186) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9457186) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2021-04-13 |