| NPI | 1053048983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001842) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 32115) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2024-08-07 |