| NPI | 1902590185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14057-33) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WI 172560-30) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2024-09-09 |