| NPI | 1700289667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-095604) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-095604) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS R898358) | |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2025-08-04 |