| NPI | 1699313650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-140674) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903755) |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2024-09-10 |