| NPI | 1801322474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 2016024249) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-158032) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2022-07-21 |