| NPI | 1578394078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11034612) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: FL 11034612) |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-11-15 |