| NPI | 1578984951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1120233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-120233) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2024-04-16 |