| NPI | 1780381376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-136796) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11024768) |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2024-01-29 |