| NPI | 1750915625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-171627) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-171627) |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2024-01-31 |