| NPI | 1245889625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5012338) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC GICH-MESYDQ) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2024-08-02 |