| NPI | 1053067892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-139124) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F01220142) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2023-05-17 |