| NPI | 1255131934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1-171963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-171963) |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-03-18 |