| NPI | 1568020196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-128503) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-128503) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2023-10-05 |