| NPI | 1356973622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL F08211323) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-176503) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-176503) | |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2022-05-25 |