| NPI | 1528573573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-129596) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 1-129596) |
| 207Q00000X Family Medicine (Licence: FL APRN11014337) | |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2024-01-03 |