| NPI | 1821514316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-129637) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-129637) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-11-20 |