| NPI | 1750995171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-147451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 202003631) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |