| NPI | 1801305305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA sp021308) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10594) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2020-09-11 |