| NPI | 1265003909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5014695) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC WESS-7144N) |
| Enumeration Date | 2021-07-04 |
| Last Update Date | 2021-11-11 |