| NPI | 1316523541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP023666) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LP-0010408) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: DE LP-0010408) | |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2024-10-03 |