| NPI | 1538620745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AL 1-159562) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-159562) |
| 363L00000X Nurse Practitioner (Licence: AL 1-159562) | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2023-06-29 |