| NPI | 1255807418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-097606) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11000999) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2019-03-27 |