| NPI | 1578317129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA W178228) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: IA W178228) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-05-28 |