| NPI | 1700520319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-164721) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-164721) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2024-09-18 |