| NPI | 1902470842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-132040) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 1-132040) |
| Enumeration Date | 2021-05-15 |
| Last Update Date | 2021-06-07 |