| NPI | 1871262634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11010414) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 11010414) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2022-08-16 |