| NPI | 1942747266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 901866) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MS R884946) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2025-05-03 |