| NPI | 1306481692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-183414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001240347) |
| 163W00000X Registered Nurse (Licence: AL 1-183414) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178577) | |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2021-09-13 |