| NPI | 1881306769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-143476) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-143476) |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2024-03-16 |