| NPI | 1063075976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-156367) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1-156367) |
| 163W00000X Registered Nurse (Licence: AL 1-156367) | |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2024-06-10 |