| NPI | 1811480833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-133554) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9446218) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2022-05-02 |