| NPI | 1093283301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5011294) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP019255) |
| 163W00000X Registered Nurse (Licence: PA 594608) | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2024-05-13 |