| NPI | 1245977792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP025744) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA RN557713) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-06-03 |