| NPI | 1720703663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-153622) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 36412) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2024-06-26 |