| NPI | 1578136701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-150465) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 36286) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPan2026) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0037951) | |
| Enumeration Date | 2021-07-24 |
| Last Update Date | 2024-11-13 |