| NPI | 1073109708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-150202) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 1-150202) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2022-10-18 |