| NPI | 1497393813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26134) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-122432) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-122432) | |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2024-07-01 |