| NPI | 1831826015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 193122) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95020921) |
| Enumeration Date | 2022-08-06 |
| Last Update Date | 2022-08-06 |