| NPI | 1396341897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA 28868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 217679) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2024-07-15 |