| NPI | 1487419677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-198334) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11030901) |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-02-28 |