| NPI | 1912620113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027008) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA RN616579) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2024-09-09 |