| NPI | 1306371216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09238) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 901928) |
| 363L00000X Nurse Practitioner (Licence: LA AP09238) | |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2022-07-21 |