| NPI | 1912604695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9514707) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11024814) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-03-03 |