| NPI | 1134765886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-168015) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 901756) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 27493) | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2023-09-13 |