| NPI | 1932809787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11035417) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 9503581) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2024-09-23 |