| NPI | 1790316115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-203666) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 23609) |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2025-07-31 |