| NPI | 1578213377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-178614) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-178614) |
| 363L00000X Nurse Practitioner (Licence: AL 1-178614) | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2024-02-26 |