| NPI | 1316591282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-153935) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-153935) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2023-03-29 |