| NPI | 1295400711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-145877) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F07190317) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2023-07-28 |