| NPI | 1619692274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC T100897) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC BLIT-5E3TU) |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |