| NPI | 1508483454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-185766) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 241067) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2022-12-30 |