| NPI | 1104688209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-159392) |
| Additional Taxonomies | 3416A0800X Ambulance, Air Transport (Licence: AL 1-159392) |
| 163WF0300X Registered Nurse, Flight (Licence: AL 1-159392) | |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-08-01 |