| NPI | 1801533559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-169295) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-169295) |
| 163WE0003X Registered Nurse, Emergency (Licence: AL 1-169295) | |
| Enumeration Date | 2022-05-15 |
| Last Update Date | 2023-12-28 |