| NPI | 1003439704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 162685) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 153019) |
| 163W00000X Registered Nurse (Licence: CA RN95204640) | |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-06-28 |