| NPI | 1659057792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-087089) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9664593) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN134762) | |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2024-11-25 |