| NPI | 1881287761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-156092) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-156092) |
| 363L00000X Nurse Practitioner (Licence: AL 1-156092) | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2023-06-28 |