| NPI | 1245968049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-182878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9435917) |
| 163W00000X Registered Nurse (Licence: AL 1-182878) | |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-10-11 |