| NPI | 1316436504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-132052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F10170336) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-08-02 |