| NPI | 1861092546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-133451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-133451) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |