| NPI | 1720352818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-114743) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11016000) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-114743) | |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2023-04-07 |