| NPI | 1134584915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5016147) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 194321) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2022-05-02 |