| NPI | 1275209934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5014954) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC SHIR-I33S7) |
| 363L00000X Nurse Practitioner (Licence: NC 279549) | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-11-04 |