| NPI | 1295400836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-106664) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 163WC1500X Registered Nurse, Community Health (Licence: AL 1-106664) | |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2024-12-16 |