| NPI | 1235687807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-120020) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 21738) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2021-02-23 |