| NPI | 1558030288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-145580) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-145580) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-145580) | |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2023-02-23 |