| NPI | 1962288548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 17299I) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028337) |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2025-02-04 |