| NPI | 1982177606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-118179) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL F09181021) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2021-03-11 |