| NPI | 1316585219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-143406) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 1-143406) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: AL 1-143406) | |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2025-11-13 |