| NPI | 1457989840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA sp021748) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: PA rn676402) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2022-06-09 |