| NPI | 1740610260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13252-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 200247-30) |
| 164W00000X Licensed Practical Nurse (Licence: WI 317598-31) | |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2022-10-27 |