| NPI | 1508523424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 32177) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: OR 201402144RN) |
| 363L00000X Nurse Practitioner (Licence: OR 202212408NP-PP) | |
| Enumeration Date | 2021-11-27 |
| Last Update Date | 2023-08-29 |