| NPI | 1265110605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-116413) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027333) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2024-04-09 |