| NPI | 1255893889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-111026) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-111026) |
| 163W00000X Registered Nurse (Licence: AL 1-111026) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2022-01-26 |