| NPI | 1619692407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 114320) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 76152) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |