| NPI | 1215787197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001740) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 906586) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-05-07 |