| NPI | 1922674035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-143836) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AL 1-143836) |
| Enumeration Date | 2021-05-29 |
| Last Update Date | 2024-10-22 |