| NPI | 1316700560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-156332) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-156332) |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-06-25 |