| NPI | 1306420195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL F01210318) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-116201) |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2024-05-30 |