| NPI | 1124612452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC BREE-0E05L) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NC 264125) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-02-26 |