| NPI | 1326796921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1052511) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-164680) |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2024-02-01 |