| NPI | 1538611231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-128142) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-128142) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN apn0000020517) | |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2024-04-02 |