| NPI | 1669919320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-102435) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 1-102435) |
| 163W00000X Registered Nurse (Licence: AL 1-102435) | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2025-06-20 |