| NPI | 1891409306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021171) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC 307034) |
| 363L00000X Nurse Practitioner (Licence: NC 5021171) | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2025-07-03 |