| NPI | 1427787373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-159552) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 25728) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2023-09-20 |