| NPI | 1487202560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-184336) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004939) |
| Enumeration Date | 2019-08-31 |
| Last Update Date | 2021-09-21 |