| NPI | 1003481607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 24754) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 24754) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 24754) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 24754) | |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2024-01-15 |