| NPI | 1891223459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09303) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP09303) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA F05170618) | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2025-03-27 |