| NPI | 1932235108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 133) |
| Additional Taxonomies | 208D00000X General Practice (Licence: SC 133) |
| 363L00000X Nurse Practitioner (Licence: SC 133) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 133) | |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2022-08-19 |