| NPI | 1043823800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001843) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 242816) |
| Enumeration Date | 2020-08-30 |
| Last Update Date | 2025-02-19 |