| NPI | 1164079745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 23111) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 23111) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 74305) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 74305) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2023-09-13 |