| NPI | 1184122020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-185520) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9364824) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2024-10-02 |