| NPI | 1306474473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-125114) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006154) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2021-10-22 |