| NPI | 1518564640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-145281) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AL 1-145281) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2023-01-26 |