| NPI | 1104332527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-111973) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: AL 1-111973) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2024-04-11 |