| NPI | 1104532811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-171524) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F01231142) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |