| NPI | 1811514722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-097016) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11007696) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2023-05-17 |