| NPI | 1851931521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-135145) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11005721) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-16 |