| NPI | 1235788415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-115157) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 115157) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-115157) | |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2022-03-28 |