| NPI | 1689224016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 2019052633) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-147338) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2023-06-29 |