| NPI | 1821597980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1148497) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-148497) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2023-06-28 |