| NPI | 1871273706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP028007) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: PA RN707607) |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-08-09 |