| NPI | 1578299772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PW 202207379NP-PP) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OR 201391395RN) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-07-29 |