| NPI | 1245705326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5011213) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 195251) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2024-01-09 |