| NPI | 1588103295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL F1216493) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-121705) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2021-04-16 |