| NPI | 1013405133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-147493) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 24205) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2019-02-05 |