| NPI | 1669934493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-166266) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-166266) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2022-10-24 |