| NPI | 1508576554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-126206) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-126206) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2024-05-01 |