| NPI | 1891175634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 19509) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-131807) |
| Enumeration Date | 2015-06-07 |
| Last Update Date | 2024-10-28 |