| NPI | 1124589767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-106008) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 203813) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2023-06-30 |