| NPI | 1861815029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-118520) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 895832) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2023-12-20 |