| NPI | 1881281814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013913) |
| Additional Taxonomies | 208D00000X General Practice (Licence: SC 25634) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2024-03-12 |