| NPI | 1053089359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA sp029004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA Rn720105) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2024-01-09 |