| NPI | 1710445838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-153373) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-153373) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-153373) | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2023-06-29 |