| NPI | 1982348355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-141418) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-141418) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2024-01-22 |