| NPI | 1588286850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 189104) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-109665) |
| Enumeration Date | 2020-05-10 |
| Last Update Date | 2023-08-18 |