| NPI | 1053683938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-136123) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS R882908) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-136123) | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2023-08-30 |