| NPI | 1548719420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-109777) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-109777) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2025-01-31 |