| NPI | 1902448228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11004867) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL Me90674) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2022-04-05 |