| NPI | 1275277717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 26069) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 26069) |
| 163W00000X Registered Nurse (Licence: SC 92583) | |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-06-07 |