| NPI | 1083324438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 27064) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 244287) |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2026-04-27 |