| NPI | 1619680717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-169288) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL F12220657) |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2024-01-04 |