| NPI | 1932521374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-125908) |
| Additional Taxonomies | 208VP0000X (Licence: AL 1-125908) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9375017) | |
| Enumeration Date | 2014-01-18 |
| Last Update Date | 2021-09-16 |