| NPI | 1801357942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-113978) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-113978) |
| 163WH1000X Registered Nurse, Hospice (Licence: AL 1-113978) | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2021-04-15 |