| NPI | 1598434417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-182730) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-182730) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2024-08-27 |