| NPI | 1316336092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-071357) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005035) |
| Enumeration Date | 2015-01-18 |
| Last Update Date | 2023-09-27 |