| NPI | 1649895673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5013284) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NC 241900) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2023-12-12 |