| NPI | 1497498042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-135845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 30177) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2024-01-20 |