| NPI | 1710517206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-087810) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 27131) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-08-19 |