| NPI | 1699384560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-182404) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022053) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2023-05-05 |