| NPI | 1871273300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 114912) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NE 73562) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-28 |