| NPI | 1568953396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-094405) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: AL 1-099405) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2021-10-12 |