| NPI | 1942785100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005833) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AR R105840) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK M131102) | |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2024-01-09 |