| NPI | 1982213872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027423) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: SC 231710) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 24239) | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2023-09-07 |