| NPI | 1043932353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ID 70256) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 70256) |
| 163W00000X Registered Nurse (Licence: NV RN87902) | |
| 163W00000X Registered Nurse (Licence: WA RN61249376) | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2024-03-04 |