| NPI | 1306338298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-139281) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 1-139281) |
| 207Q00000X Family Medicine (Licence: AL 1-139281) | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2022-07-11 |