| NPI | 1700340908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-119261) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903217) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2020-04-15 |