| NPI | 1649911652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-180697) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-180697) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-11-14 |