| NPI | 1568177079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-191653) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023890) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2024-02-22 |