| NPI | 1285171694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 20150) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 20150) |
| 163WC1500X Registered Nurse, Community Health (Licence: SC 20150) | |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2023-06-28 |