| NPI | 1871266981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-197784) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009152) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2024-09-17 |