| NPI | 1306611413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001656) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11031234) |
| 163W00000X Registered Nurse (Licence: FL 9539287) | |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2024-03-03 |