| NPI | 1215556311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-163593) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-163592) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2022-09-19 |