| NPI | 1992323059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-000030) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903103) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-12-27 |