| NPI | 1093319766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA 269353) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F11200019) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |