| NPI | 1154962264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL F08191193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-146945) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2023-06-30 |