| NPI | 1770398661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-079858) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F02250187) |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-09-02 |