| NPI | 1063744696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-159730) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-159730) |
| 227900000X Respiratory Therapist, Registered (Licence: AL 2636) | |
| Enumeration Date | 2010-02-07 |
| Last Update Date | 2025-01-23 |