| NPI | 1891404836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: NV F07220485) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 859027) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-12-20 |