| NPI | 1588917363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-185588) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP 07017) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2023-08-28 |