| NPI | 1528542917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5014315) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 221743) |
| 363L00000X Nurse Practitioner (Licence: SC 22332) | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2023-06-30 |