| NPI | 1083226179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AL 1-153263) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: AL 1-153263) |
| 163WP2201X Registered Nurse Ambulatory Care (Licence: AL 1-153263) | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2021-06-17 |