| NPI | 1154896470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP10026) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA AP10026) |
| 208100000X Physical Medicine & Rehabilitation (Licence: LA AP10026) | |
| Enumeration Date | 2018-10-13 |
| Last Update Date | 2022-02-18 |