| NPI | 1932963824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP031470) |
| Additional Taxonomies | 208D00000X General Practice (Licence: DE L1-0068065) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-12-03 |