| NPI | 1285078287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP016107) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001320979) |
| 163W00000X Registered Nurse (Licence: PA RN596948) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024187418) | |
| Enumeration Date | 2013-04-20 |
| Last Update Date | 2025-12-04 |