| NPI | 1215786710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 110161-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 110161-23) |
| 363L00000X Nurse Practitioner (Licence: CT AG11230024) | |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-06-12 |