| NPI | 1063897502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 19680) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 208328) |
| 363L00000X Nurse Practitioner (Licence: SC 19680) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2023-03-17 |