| NPI | 1215531405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-197836) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R103620) |
| Enumeration Date | 2020-11-28 |
| Last Update Date | 2024-01-17 |