| NPI | 1225652753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VI 13498) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 214398) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2024-04-05 |