| NPI | 1194488403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25755) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-078074) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2024-10-07 |