| NPI | 1275123903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-163577) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 1-163577) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: AL 1-163577) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-163577) | |
| 363L00000X Nurse Practitioner (Licence: AL 1-163577) | |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: AL 1-163577) | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2025-09-18 |