| NPI | 1730527920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-088012) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-088012) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-088012) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2021-05-21 |