| NPI | 1356848733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001533) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 156544) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2025-06-12 |