| NPI | 1821498239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-097601) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F0714330) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2025-10-15 |