| NPI | 1770329864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-060635) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AL 1-060635) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |