| NPI | 1417615816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 25672) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 66194) |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP001914) | |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2023-12-11 |