| NPI | 1467168781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-170877) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-170877) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2024-06-14 |