| NPI | 1245654896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 19447) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R880074) |
| 363L00000X Nurse Practitioner (Licence: SC 19447) | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2022-03-02 |