| NPI | 1740756675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-090087) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 24980) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2022-09-15 |